NPIMap

Individual provider Active NPI

Richard J Ditlow Jr., M.D.

  • Radiation Oncology Physician
  • Harrisburg, PA
National Provider Identifier
1356335863
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD016970E Issued in PA
Practice address
775 S Arlington Ave
Harrisburg, PA 17109-5002
Phone
(717) 541-9240
Fax
(717) 541-9243
NPI assigned
Sep 12, 2005
Last updated
Dec 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD016970E PA Primary
Therapeutic Radiology Physician 2085R0203X MD016970E PA

Addresses

Primary practice location

775 S Arlington Ave
Harrisburg, PA 17109-5002

Mailing address

2501 Oregon Pike
Suite 101
Lancaster, PA 17601-4890
Phone (717) 293-3223

Other practice location 1

4300 Londonderry Rd Lowr Level
Harrisburg, PA 17109-5317
Phone (717) 724-6740

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rditlow116115@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000126 PA Practitioner - Radiation Oncology 5193849891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Temple University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

4300 Londonderry Rd MSP Level
Harrisburg, PA 17109-5397
Phone (717) 724-6740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD016970EPAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Jan 16, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2020 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jan 16, 2020 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Fayette Oncology Associates Radiation Oncology PastSince Nov 1, 2005 Accepting new patients
Central Pennsylvania Radiation Oncology, PC Radiation Oncology PastSince Apr 1, 2016 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Fayette Oncology Associates Past Accepting new patients
Barden Thorwarth Daughtridge LTD Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

423 N 21st St
Ste 300
Camp Hill, PA 17011
Phone (717) 763-1174

25 Sprint Dr
Carlisle, PA 17015
Phone (717) 737-5767

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4310 Londonderry Rd
Ste 101
Harrisburg, PA 17109
Phone (717) 724-0720

775 S Arlington Ave
Harrisburg, PA 17109
Phone (717) 541-9240

233 College Ave
Ste 100
Lancaster, PA 17603
Phone (717) 291-7207

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1356335863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 OREGON PIKE",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014890",
            "telephone_number": "717-293-3223",
            "fax_number": "717-390-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S ARLINGTON AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095002",
            "telephone_number": "717-541-9240",
            "fax_number": "717-541-9243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Londonderry Rd Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095317",
            "country_code": "US",
            "telephone_number": "717-724-6740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITLOW",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD016970E",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "PA",
            "license": "MD016970E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rditlow116115@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4300 Londonderry Rd Lowr Level",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.